Ratified by HoC/WHO at the HoC meeting in Washington, October 2001
WORLD HEALTH ORGANIZATION
Update Reference Committee
30 November 2001
OFFICIAL UPDATES TO ICD-10
The following pages include the official changes to the tabular list, instruction manual and alphabetical index of ICD-10. These changes were approved in principle at the HoC meeting in Washington DC, October 2001. Each change has been uniquely identified and the source for each change has been indicated. The implementation date has also been documented.
(Note: Every effort has been made in the following pages to reproduce the content of the ICD-10 in the same format as the published volumes. Page references have not been used in all instances since these do not apply to electronic versions of the Classification. Additions/changes have been indicated through the use of instructions, underline and strikeout).
This document is not issued to the general public, and all rights are reserved by the World Health Organization (WHO). The document may not be reviewed, abstracted, quoted, reproduced or translated, in part or in whole, without the prior written permission of WHO. No part of this document may be stored in a retrieval system or transmitted in any form or by any means – electronic, mechanical or other – without the prior written permission of WHO.
Page 1 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001
Volume 1 TABULAR LIST
Instruction Tabular list entries Source Major/Minor Implementation update date Delete dagger A02.2 † Localized salmonella infections Australia Minor January 2003 Salmonella: (URC:0046) Add dagger . arthritis † (M01.3*) Add dagger . meningitis † (G01*) Add dagger . osteomyelitis † (M90.2*) Add dagger . pneumonia † (J17.0*) Add dagger . renal tubulo-interstitial disease † (N16.0*)
Delete dagger A18.1 † Tuberculosis of genitourinary system Tuberculosis of: Add dagger .bladder † (N33.0*) Add dagger .cervix † (N74.0*) Add dagger .kidney † (N29.1*) Add dagger .male genital organs † (N51.-*) Add dagger .ureter † (N29.1*) Add dagger Tuberculous female pelvic inflammatory disease † (N74.1*) Delete dagger A18.5 † Tuberculosis of eye Tuberculous: Add dagger .chorioretinitis † (H32.0*) Add dagger .episcleritis † (H19.0*) Add dagger .interstitial keratitis † (H19.2*) Add dagger .iridocyclitis † (H22.0*) Add dagger .keratoconjunctivitis (interstitial) (phlyctenular) † (H19.2*) Delete dagger A18.6 † Tuberculosis of ear Add dagger Tuberculous otitis media † (H67.0*) Delete dagger A18.8 † Tuberculosis of other specified organs Tuberculosis of: Add dagger .endocardium † (I39.8*) Add dagger .myocardium † (I41.0*) Add dagger .oesophagus † (K23.0*) Add dagger .pericardium † (I32.0*) Add dagger .thyroid gland † (E35.0*) Add dagger Tuberculous cerebral arteritis † (I68.1*)
Page 2 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001
Delete dagger A54.2 † Gonococcal pelviperitonitis and other gonococcal genitourinary infections Gonococcal: Add dagger .epididymitis † (N51.1*) Add dagger .female pelvic inflammatory disease † (N74.3*) Add dagger .orchitis † (N51.1*) Add dagger .prostatitis † (N51.0*)
Delete dagger A56.1† Chlamydial infection of pelviperitoneum and other genitourinary organs Chlamydial: Add dagger .epididymitis † (N51.1*) Add dagger .female pelvic inflammatory disease † (N74.4*) Add dagger .orchitis † (N51.1*)
Delete dagger B00.5† Herpesviral ocular disease Herpesviral: Add dagger .conjunctivitis † (H13.1*) Add dagger .dermatitis of eyelid † (H03.1*) Add dagger .iridocyclitis † (H22.0*) Add dagger .iritis † (H22.0*) Add dagger .keratitis † (H19.1*) Add dagger .keratconjunctivitis † (H19.1*) Add dagger .uveitis, anterior † (H22.0*)
Delete dagger B02.3† Zoster ocular disease Zoster: Add dagger .blepharitis † (H03.1*) Add dagger .conjunctivitis † (H13.1*) Add dagger .iridocyclitis † (H22.0*) Add dagger .iritis † (H22.0*) Add dagger .keratitis † (H19.2*) Add dagger .keratoconjunctivitis † (H19.2*) Add dagger .scleritis † (H19.0*)
Delete dagger B37.4 † Candidiasis of other urogenital sites Candidal: Add dagger .balanitis † (N51.2*) Add dagger .urethritis † (N37.0*)
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Delete dagger & B57.2 † Chagas disease (chronic) with heart involvement (I41.2*, I98.1*) manifestation Chagas’ disease (chronic) (with): codes .NOS Add dagger .cardiovascular involvement NEC † (I98.1*) Add dagger .myocarditis † (I41.2*)
Add dagger and B59† Pneumocystosis (J17.3*) Australia Minor January 2003 manifestation code (URC:0087)
I27 Other pulmonary heart diseases Australia Major January 2003 (URC: 0069) Add subcategory I27.2 Other secondary pulmonary hypertension
Add instruction Use additional code, if desired, to identify the underlying disease
I42.0 Dilated cardiomyopathy UK Major January 2003 Add inclusion term Congestive cardiomyopathy (URC:0099)
I42.5 Other restrictive cardiomyopathy Add inclusion term Constrictive cardiomyopathy NOS
J38 Diseases of vocal cords and larynx, not elsewhere classified Australia Major January 2003 Delete Excludes Excludes: congenital laryngeal stridor (Q31.4) (URC:0060) note and code
Revise and add stridor: (R06.1) exclusion notes and . congenital laryngeal NOS (P28.8) codes . NOS (R06.1)
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K35 Acute appendicitis Australia Minor January 2003 (URC:0077) K35.0 Acute appendicitis with generalized peritonitis Appendicitis (acute) with: .perforation Revise inclusion .peritonitis (generalized) (localized) following rupture or perforation term .rupture
K35.9 Acute appendicitis, unspecified Add inclusion term Acute appendicitis with peritonitis, localized or NOS Acute appendicitis without: Add inclusion term .generalized peritonitis .perforation .peritoneal abscess Delete inclusion .peritonitis term .rupture
M72 Fibroblastic disorders Australia Major January 2003 (URC: 0081) Delete subcategory M72.3 Nodular fasciitis
M72.4 Pseudosarcomatous fibromatosis Add inclusion term Nodular fasciitis
Delete subcategory M72.5 Fasciitis, not elsewhere classified
Delete exclusion Excludes: fasciitis: note . diffuse (eosinophilic) (M35.4) . nodular (M72.3) . plantar (M72.2)
Add subcategory M72.6 Necrotising fasciitis
Add instruction Use additional code, if desired, to identify infectious agent
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M72.8 Other fibroblastic disorders Add inclusion term Abscess of fascia
Add exclusion note Excludes: fasciitis: . diffuse (eosinophilic) (M35.4) . necrotizing (M72.6) . nodular (M72.4) . perirenal: .NOS (N13.5) .with infection (N13.6) . plantar (M72.2)
M72.9 Fibroblastic disorder, unspecified Add inclusion Fasciitis NOS terms Fibromatosis NOS
Q31 Congenital malformations of larynx Australia Major January 2003 (URC:0060) Add exclusion note Excludes: congenital laryngeal stridor NOS (P28.8)
Delete subcategory Q31.4 Congenital laryngeal stridor Delete inclusion Congenital stridor (larynx) NOS term Add subcategory Q31.5 Congenital laryngomalacia
Cleft lip and cleft palate Germany Minor January 2003 (Q35 – Q37) (URC: 0093)
Add instructional Use additional code (Q30.2), if desired, to identify associated malformations of the note nose
Delete subcategory Q35.6 Cleft palate, medial Germany Major January 2003 (URC:0091) Revise code Q36.1 Cleft lip, median Germany Minor January 2003 description (URC:0092) Revise descriptor Q61.1 Polycystic kidney, autosomal recessive Australia Minor January 2003 Add inclusion term Polycystic kidney, infantile type (URC:0070)
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Revise descriptor Q61.2 Polycystic kidney, autosomal dominant Add inclusion term Polycystic kidney, adult type
R06.1 Stridor Australia Major January 2003 (URC:0060) Revise code Excludes: congenital laryngeal stridor (P28.8)
R45.8 Other symptoms and signs involving emotional state Australia Major January 2003 Add inclusion term Suicidal ideation (tendencies) (URC:0064)
Add excludes note Excludes: suicidal ideation constituting part of a mental disorder (F00-F99)
S43.4 Sprain and strain of shoulder joint Australia Major January 2003 Delete parentheses Rotator cuff (capsule) (URC:0090)
S76.1 Injury of quadriceps muscle and tendon Germany Major January 2003 Add inclusion term Patellar ligament (tendon) (URC:0034)
S83.6 Sprain and strain of other and unspecified parts of knee Delete inclusion Patellar ligament term Add exclusion note Excludes: sprain of patellar ligament (S76.1)
S86 Injury of muscle and tendon at lower leg level Revise and Excludes: injury of: muscle and tendon at or below ankle (S96.-) add inclusion terms muscle and tendon at or below ankle (S96.-) patellar ligament (S76.1)
Z52.0 Blood donor Australia Minor January 2003 (URC: 0111) Add inclusion note Includes: blood components such as lymphocytes, platelets or stem cells
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Volume 2 INSTRUCTION MANUAL
Instruction Instruction manual entries Source Major/Minor Implementation update date Page 32 4.1.3 International form of medical certificate of cause of death Mortality Major January 2003 Reference … Part I of the form is for diseases related to the train of events leading directly to Group death, and Part II is for unrelated but contributory conditions. (URC: 0106)
The medical practitioner or other qualified certifier should use his or her clinical Add text judgement in completing the medical certificate of cause of death. Automated systems must not include lists or other prompts to guide the certifier as these necessarily limit the range of diagnoses and therefore have an adverse effect on the accuracy and usefulness of the report.
Page 35 4.1.6 Some considerations on selection rules Mortality Minor January 2003 Reference Add Example 5: I (a) Generalized metastases 5 weeks Group Add (b) Bronchopneumonia 3 days (URC: 0104) Add (c) Lung cancer 11 months
Page 51 4.1.11 Notes for use in underlying cause mortality coding Mortality Major January 2003 Reference B20- B24 Human immunodeficiency virus [HIV] disease Group (URC: 0108) Conditions classifiable…specify the individual conditions listed.
Add text D50-D89 Diseases of blood and blood-forming organs and Certain disorders involving the immune mechanism
as the cause of:
B20-B24 Human immunodeficiency virus [HIV] disease and where the certificate indicates the HIV disease is a result of a blood transfusion given as treatment for the originating condition, code B20-B24
Page 8 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001
Page 62 Table 1. Summary of linkages by code number
Selected cause As cause of: Resulting linked code Add D50-D59 B20-B24 B20-B24
Page 67 4.2.2 Interpretation of “highly improbable”
The expression “highly improbable”…the following relationships should be regarded as “highly improbable”:
Add new item (a) (a) any infectious disease may be accepted as “due to” disorders of the immune mechanism such as human immunodeficiency virus (HIV) disease or AIDS;
Renumber existing (b) an infectious or parasitic disease (A00-B99) reported as “due to” any disease item (a) to item (b) outside this chapter, except that: and revise as . any infectious disease may be accepted as “due to” disorders of the immune indicated mechanism such as human immunodeficiency virus [HIV] disease or AIDS; immunosuppression by chemicals (chemotherapy) and radiation. Any infectious disease classified to A00-B19 or B25-B64 reported as “due to” a malignant neoplasm will also be an acceptable sequence.
Renumber existing (c) a malignant neoplasm reported as “due to” any other disease, except human items as immunodeficiency virus [HIV] disease; appropriate (d) haemophilia….. (and so on….)
Page 68 4.2.2. Interpretation of “highly improbable” Mortality Minor January 2003 (l) a condition of stated date of onset “X” reported as “due to” a condition of stated Reference Add due of onset “Y”, when “X” predates “Y” (but see also Example 5 in section 4.1.6); Group (URC: 0104)
Page 9 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001
4.2.2 Interpretation of “highly improbable” Mortality Minor January 2003 Page 68 …As a guide to the acceptability of sequences in the application of the General Reference Principle and the selection rules, the following relationships should be regarded as Group Replace existing “highly improbable”: (URC:0049) point (m) with this revised rule (m) accidents (V01-X59) reported as due to any cause outside this chapter except: (1) any accident (V01-X59) reported as due to epilepsy (G40-G41); (2) a fall (W00-W19) due to a disorder of bone density (M80-M85); (3) a fall (W00-W19) due to a (pathological) fracture caused by a disorder of bone density; (4) asphyxia reported as due to aspiration of mucus, blood (W80) or vomitus (W78) as a result of disease conditions; (5) aspiration of food (liquid or solid) of any kind (W79) reported as due to a disease which affects the ability to swallow. Mortality Major January 2003 Page 88 4.2.14 Human Immunodeficiency Virus (HIV) Reference Add text When a blood transfusion is given as treatment for any condition (e.g. a Group haematological disorder) and an infected blood supply results in a HIV infection, code (URC: 0108) the HIV as the underlying cause and not the treated condition.
Example 1: I (a) Kaposi’s sarcoma 1 year (b) HIV 3 years (c) Blood transfusion 5 years (d) Haemophilia since birth
Code to HIV.
Example 2: I (a) Pneumocystis carinii 6 months (b) HIV 5 years (c) Ruptured spleen 7 years (d) Assault – fist fight 7 years
Code to HIV.
Page 10 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001 The following list is to be included as an Appendix to Volume 2. Reference: Mortality Reference Group (URC:0109). Minor change for implementation in January 2003.
Contents
7. Appendices Page xxx
7.1 List of conditions unlikely to cause death Page xxx
Appendix 7.1
List of conditions unlikely to cause death
Code Category or subcategory A31.1 Cutaneous mycobacterial infection A42.8 Other forms of cutaneous actinomycosis A60.0 Herpesviral infection of genitalia and urogenital tract A71.0 - A71.9 Trachoma A74.0 Chlamydial conjunctivitis B00.2 Herpesviral gingivostomatitis B00.5 Herpesviral ocular disease B00.8 Herpesviral whitlow B07 Viral warts B08.1 Molluscum contagiosum B08.8 Foot and mouth disease B30.0 - B30.9 Viral conjunctivitis B35.0 - B35.9 Dermatophytosis B36.0 - B36.9 Other superficial mycoses B85.0 - B85.4 Pediculosis and phthiriasis F45.3 - F45.9 Somatoform disorders F50.1, F50.3 - F50.9 Eating disorders F51.0 - F51.9 Nonorganic sleep disorders F52.0 - F52.9 Sexual dysfunction, not caused by organic disorder or disease
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F60.0 - F60.9 Specific personality disorders F61 Mixed and other personality disorders F62.0 - F62.9 Enduring personality changes, not attributable to brain damage and disease F63.0 - F63.9 Habit and impulse disorders F64.0 - F64.9 Gender identity disorders F65.0 - F65.9 Disorders of sexual preference F66.0 - F66.9 Psychological and behavior disorders associated with sexual development and orientation F68.0 - F68.9 Other disorders of adult personality and behavior F69 Unspecified disorder of adult personality and behavior F95.0 - F95.9 Tic disorders F98.0 - F98.9 Other behavioural and emotional disorders with an onset usually occurring in childhood and adolescence G43.0 - G43.2, G43.8 - G43.9 Migraine, except complicated migraine (G43.3) G44.0 - G44.2 Other headache syndromes G45.0 - G45.9 Transient cerebral ischaemic attacks and related syndromes G50.0 - G50.9 Disorders of trigeminal nerve G51.0 - G51.9 Facial nerve disorders G54.0 - G54.9 Nerve root and plexus disorders G56.0 - G56.9 Mononeuropathies of upper limb G57.0 - G57.9 Mononeuropathies of lower limb G58.7 Mononeuritis multiplex H00.0 - H00.1 Hordeolum and chalazion H01.0 - H01.9 Other inflammation of eyelid H02.0 - H02.9 Other disorders of eyelid H04.0 - H04.9 Disorders of lacrimal system H10.0 - H10.9 Conjunctivitis H11.0 - H11.9 Other disorders of conjunctiva H15.0 - H15.9 Disorders of sclera H16.0 - H16.9 Keratitis H17.0 - H17.9 Corneal scars and opacities H18.0 - H18.9 Other disorders of cornea H20.0 - H20.9 Iridocyclitis H21.0 - H21.9 Other disorders of iris and ciliary body H25.0 - H25.9 Senile cataract H26.0 - H26.9 Other cataract H27.0 - H27.9 Other disorders of lens H30.0 - H30.9 Chorioretinal inflammation H31.0 - H31.9 Other disorders of choroid H33.0 - H33.5 Retinal detachments and breaks H34.0 - H34.9 Retinal vascular occlusions H35.0 - H35.9 Other retinal disorders H40.0 - H40.9 Glaucoma
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H43.0 - H43.9 Disorders of vitreous body H46 Optic neuritis H47.0 - H47.7 Other disorders of optic (2nd) nerve and visual pathways H49.0 - H49.9 Paralytic strabismus H50.0 - H50.9 Other strabismus H51.0 - H51.9 Other disorders of binocular movement H52.0 - H52.7 Disorders of refraction and accomodation H53.0 - H53.9 Visual disturbances H54.0 - H54.9 Blindness and low vision H55 Nystagmus and other irregular eye movements H57.0 - H57.9 Other disorders of eye and adnexa H59.0 - H59.9 Postprocedural disorders of eye and adnexa, not elsewhere classified H60.0 - H60.9 Otitis externa H61.0 - H61.9 Other disorders of external ear H80.0 - H80.9 Otosclerosis H83.3 - H83.9 Other diseases of inner ear H90.0 - H90.8 Conductive and sensorineural hearing loss H91.0 - H91.9 Other hearing loss H92.0 - H92.2 Otalgia and effusion of ear H93.0 - H93.9 Other disorders of ear, not elsewhere classified J00 Acute nasopharyngitis (common cold) J06.0 - J06.9 Acute upper respiratory infections of multiple and unspecified sites J30.0 - J30.4 Vasomotor and allergic rhinitis J33.0 - J33.9 Nasal polyp J34.2 Deviated nasal septum J35.0 - J35.9 Chronic disease of tonsils and adenoids K00.0 - K00.9 Disorders of tooth development and eruption K01.0 - K01.1 Embedded and impacted teeth K02.0 - K02.9 Dental caries K03.0 - K03.9 Other diseases of hard tissues of teeth K04.0 - K04.9 Diseases of pulp and periapical tissues K05.0 - K05.6 Gingivitis and periodontal diseases K06.0 - K06.9 Other disorders of gingiva and edentulous alveolar ridge K07.0 - K07.9 Dentofacial anomalies (including malocclusion) K08.0 - K08.9 Other disorders of teeth and supporting structures K09.0 - K09.9 Cyst of oral region, not elsewhere classified K10.0 - K10.9 Other diseases of jaws K11.0 - K11.9 Diseases of the salivary glands K14.0 - K14.9 Diseases of tongue L01.0 - L01.1 Impetigo (for infants over 1 year of age) L03.0 Cellulitis of finger and toe
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L04.0 - L04.9 Acute lymphadenitis L05.0 - L05.9 Pilonidal cyst L08.0 - L08.8 Other local infections of skin and subcutaneous tissue L20.0 - L20.9 Atophic dermatitis L21.0 - L21.9 Seborrhoeic dermatitis L22 Diaper (napkin) dermatitis L23.0 - L23.9 Allergic contact dermatitis L24.0 - L24.9 Irritant contact dermatitis L25.0 - L25.9 Unspecified contact dermatitis L28.0 - L28.2 Lichen simplex chronicus and prurigo L29.0 - L29.9 Pruritus L30.0 - L30.9 Other dermatitis L41.0 - L41.9 Parapsoriasis L42 Pityriasis rosea L43.0 - L43.9 Lichen planus L44.0 - L44.9 Other papulosquamous disorders L55.0 - L55.1, L55.8 - L55.9 Sunburn, except sunburn of third degree (L55.2) L56.0 - L56.9 Other acute skin changes due to ultraviolet radiation L57.0 - L57.9 Skin changes due to chronic exposure to nonionizing radiation L58.0 - L58.9 Radiodermatitis L59.0 - L59.9 Other disorders of skin and subcutaneous tissue related to radiation L60.0 - L60.9 Nail disorders L63.0 - L63.9 Alopecia areata L64.0 - L64.9 Androgenic alopecia L65.0 - L65.9 Other nonscarring hair loss L66.0 - L66.9 Cicatricial alopecia (scarring hair loss) L67.0 - L67.9 Hair colour and hair shaft abnormalities L68.0 - L68.9 Hypertrichosis L70.0 - L70.9 Acne L72.0 - L72.9 Follicular cysts of skin and subcutaneous tissue L73.0 - L73.9 Other follicular disorders L74.0 - L74.9 Eccrine sweat disorders L75.0 - L75.9 Aprocrine sweat disorders L80 Vitiligo L81.0 - L81.9 Other disorders of pigmentation L83 Acanthosis nigricans L84 Corns and callosities L85.0 - L85.9 Other epidermal thickening L87.0 - L87.9 Transepidermal elimination disorders L90.0 - L90.9 Atrophic disorders of skin L91.0 - L91.9 Hypertrophic disorders of skin
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L92.0 - L92.9 Granulomatous disorders of skin and subcutaneous tissue L94.0 - L94.9 Other localized connective tissue disorders L98.0 - L98.3, L98.5-L95.9 Other disorders of skin and subcutaneous tissue, not elsewhere classified M20.0 - M20.6 Acquired deformities of fingers and toes M21.0 - M21.9 Other acquired deformities of limbs M22.0 - M22.9 Disorders of patella M23.0 - M23.9 Internal derangement of knee M24.0 - M24.9 Other specific joint derangements M25.0 - M25.9 Other joint disorders, not elsewhere classified M35.3 Polymyalgia rheumatica M40.0 - M40.5 Kyphosis and lordosis M43.6 Torticollis, unspecified M43.8 - M43.9 Other and deforming dorsopathies M48.0 Spinal stenosis in cervical region M53.0 - M53.9 Other dorsopathies, not elsewhere classified M54.0 - M54.9 Dorsalgia M60.0 - M60.9 Myositis M65.0 - M65.9 Synovitis and tenosynovitis M66.0 - M66.5 Spontaneous rupture of synovium and tendon M67.0 - M67.9 Other disorders of synovium and tendon M70.0 - M70.9 Soft tissue disorders related to use, overuse and pressure M71.0 - M71.9 Other bursopathies M72.5 Fasciitis, not elsewhere classified, except necrotizing fasciitis M75.0 - M75.9 Shoulder lesions M76.0 - M76.9 Enthesopathies of lower limb, excluding foot M77.0 - M77.9 Other enthesopathies M79.0 - M79.9 Other soft tissue disorders, not elsewhere classified M95.0 - M95.9 Other acquired deformities of musculoskeletal system and connective tissue M99.0 - M99.9 Biomechanical lesions, not elsewhere classified N39.3 Stress incontinence N46 Male infertility N47 Redundant prepuce, phimosis, and paraphimosis N60.0 - N60.9 Benign mammary dysplasia N84.0 - N84.9 Polyp of female genital tract N85.0 - N85.9 Other noninflammatory disorders of uterus, except cervix N86 Erosion and ectropion of cervix uteri N87.0 - N87.9 Dysplasia of cervix uteri N88.0 - N88.9 Other noninflammatory disorders of cervix uteri N89.0 - N89.9 Other noninflammatory disorders of vagina N90.0 - N90.9 Other noninflammatory disorders of vulva and perineum N91.0 - N91.5 Absent, scanty, and rare menstruation
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N92.0 - N92.9 Excessive, frequent, and irregular menstruation N93.0 - N93.9 Other abnormal uterine and vaginal bleeding N94.0 - N94.9 Pain and other conditions associated female genital organs and menstrual cycle N96 Habitual aborter N97.0 - N97.9 Female infertility Q10.0 - Q10.7 Congenital malformations of eyelid, lacrimal apparatus, and orbit Q11.0 - Q11.3 Anophthalmos, microphthalmos and macrophthalmos Q12.0 - Q12.9 Congenital lens malformations Q13.0 - Q13.9 Congenital malformations of anterior segment of eye Q14.0 - Q14.9 Congenital malformations of posterior segment of eye Q15.0 - Q15.9 Other congenital malformations of eye Q16.0 - Q16.9 Congenital malformations of ear causing impairment of hearing Q17.0 - Q17.9 Other congenital malformations of ear Q18.0 - Q18.9 Other congenital malformations of face and neck Q38.1 Tongue tie Q65.0 - Q65.9 Congenital deformities of hip Q66.0 - Q66.9 Congenital deformities of feet Q67.0 - Q67.8 Congenital musculoskeletal deformities of head, face, spine and chest Q68.0 - Q68.8 Other congenital musculoskeletal deformities Q69.0 - Q69.9 Polydactyly Q70.0 - Q70.9 Syndactyly Q71.0 - Q71.9 Reduction defects of upper limb Q72.0 - Q72.9 Reduction defects of lower limb Q73.0 - Q73.8 Reduction defects of unspecified limb Q74.0 - Q74.9 Other congenital malformations of limb(s) Q80.0 - Q80.3, Q80.8 - Q80.9 Congenital ichthyosis, except Harlequin fetus (Q80.4) Q81.0 Epidermolysis bullosa simplex Q81.2 - Q81.9 Other forms of epidermolysis bullosa, except epidermolysis bullosa letalis (Q81.1) Q82.0 - Q82.9 Other congenital malformations of skin Q83.0 - Q83.9 Congenital malformations of breast Q84.0 - Q84.9 Other congenital malformations of integument S00.0 - S00.9 Superficial injury of head S05.0, S05.1, S05.8 Superficial injuries (any type) of eye and orbit (any part) S10.0 - S10.9 Superficial injury of neck S20.0 - S20.8 Superficial injury of thorax S30.0 - S30.9 Superficial injury of abdomen, lower back and pelvis S40.0 - S40.9 Superficial injury of shoulder and upper arm S50.0 - S50.9 Superficial injury of forearm S60.0 - S60.9 Superficial injury of wrist and hand S70.0 - S70.9 Superficial injury of hip and thigh S80.0 - S80.9 Superficial injury of lower leg
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S90.0 - S90.9 Superficial injury of ankle and foot T09.0 Superficial injury of trunk, level unspecified T11.0 Superficial injury of upper limb, level unspecified T13.0 Superficial injury of lower limb, level unspecified T14.0 Superficial injury of unspecified body region T20.1 Burn of first degree of head and neck T21.1 Burn of first degree of trunk T22.1 Burn of first degree of shoulder and upper limb, except wrist and hand T23.1 Burn of first degree of wrist and hand T24.1 Burn of first degree of hip and lower limb except ankle and foot T25.1 Burn of first degree of ankle and foot
Page 17 Ratified by HoC/WHO at the HoC meeting in Washington, October 2001
Volume 3 ALPHABETIC INDEX
Instruction Alphabetic index entries Source Major/Minor Implementation update date Abscess… Australia Major January 2003 Revise code - fascia M72.8 (URC:0081)
Adhesions, adhesive Australia Major January 2003 - joint M24.8 (URC: 0089) Add subterm & - - knee M23.8 code Anemia D64.9 Australia Major January 2003 Add morphology - myelofibrosis (M9960/1) D47.1† D63.0* (URC:0079) code, revise code and add dagger & manifestation code Appendicitis K37 Australia Minor January 2003 - with (URC:0077) Delete term - - perforation, peritonitis or rupture K35.0 - - peritoneal abscess K35.1 Add subterms - - peritonitis, localized K35.9 and - - - with mention of perforation or rupture K35.0 codes - - - generalized K35.0 - acute (catarrhal) (fulminating) (gangrenous) (obstructive) (retrocaecal) (suppurative) K35.9 - - with Delete term - - - perforation, peritonitis or rupture K35.0 - - - peritoneal abscess K35.1 Add subterms - - - peritonitis, localized K35.9 and - - - - with mention of perforation or rupture K35.0 codes - - - - generalized K35.0
Arthritis, arthritic (acute) (chronic) (subacute) M13.9 Dutch Minor January 2003 - in (due to) Committee on - - crystals M11.9 ICD-10 - - - dicalcium phosphate M11.8 Translation Add subterm & - - - hydroxyapatite M11.0 (URC: 0084) code
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Add dagger & code Baker’s cyst Australia Minor January 2003 - tuberculous A18.0† M01.1* (URC:0046)
Delete non Cardiomyopathy (congestive) (constrictive) (familial) (idiopathic) I42.9 UK Major January 2003 essential modifiers (URC:0099) Add subterms & - congestive I42.0 codes - constrictive NEC I42.5
Chondritis (purulent) Australia Minor January 2003 Add dagger & code - tuberculous NEC A18.0† M01.1* (URC:0046)
Cleft (congenital) – see also Imperfect, closure Germany Minor January 2003 - lip Q35.9 (URC:0092) Revise subterm - - median Q36.1
Cleft (congenital) – see also Imperfect, closure Germany Major January 2003 - palate Q35.9 (URC:0091) Revise code - - medial Q35.5
Complications (from) (of) Dutch Minor January 2003 - graft (bypass) (patch) T85.9 Committee on Add code - - bone T84.9 ICD-10 Translation (URC: 0084) Creaking joint M24.8 Australia Major January 2003 Add subterm & - knee M23.8 (URC: 0089) code Crepitus Australia Major January 2003 Add subterm & - joint M24.8 (URC: 0089) code - - knee M23.8
Cyst (colloid) (mucous) (retention) (simple) Australia Minor January 2003 - Baker’s (URC:0046) Add dagger & code - - tuberculous A18.0 † M01.1*
Cyst (colloid)… Australia Minor January 2003 - kidney (congenital) (URC:0070) - - multiple Q61.3 Revise subterm - - - autosomal dominant (adult type) Q61.2 Revise subterm - - - autosomal recessive (infantile type) Q61.1
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Derangement Australia Major January 2003 - joint (internal) M24.9 (URC: 0089) - - knee M23.9 Add subterms and - - - current injury S83.2 codes - - - specified NEC M23.8
Delete NEC - knee NEC M23.9
Destruction, destructive – see also Damage Australia Major January 2003 - articular facet M24.8 (URC: 0089) Add subterm and - - knee M23.8 code Disease, diseased – see also Syndrome Dutch Minor January 2003 - hemorrhagic D69.9 Committee on Add subterm & - - fetus or newborn P53 ICD-10 code Translation (URC: 0084) Disease, diseased – see also Syndrome Australia Minor January 2003 - oast-house-urine E72.1 (URC:0066) Delete 1 dash - - ocular Delete 1 dash, - - - herpesviral B00.5 revise code Delete 1 dash, - - - zoster B02.3 revise code Dislocation (articular) T14.3 Australia Major January 2003 - knee S83.1 (URC: 0089) - - congenital Q68.2 Add subterm & - - old M23.8 code - old M24.8 Add subterm & - - knee M23.8 code Disorder (of) – see also Disease Dutch Minor January 2003 - catatonic Committee on - - organic F06.1 ICD-10 Add subterm & - - schizophrenia F20.2 Translation code (URC: 0084)
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Donor Australia Minor January 2003 Add non essential - blood (components) Z52.0 (URC:0111) modifier Revise code - lymphocyte Z52.0 Add subterms and - platelets Z52.0 codes - stem cells Z52.0 Revise code Fasciitis M72.9 Australia Major January 2003 Add subterm and - necrotising M72.6 (URC:0081) code Revise code - nodular M72.4 Revise code - specified NEC M72.8 Revise code - traumatic (old) M72.8
Fracture (abduction) (adduction)… T14.2 Australia Minor January 2003 - bone T14.2 (URC:0071) Revise code - - in (due to) neoplastic disease NEC (M8000/1) (see also Neoplasm) D48.0† M90.7*.
Gangrene, gangrenous… Australia Minor January 2003 - appendix K35.9 (URC:0077) Delete terms and - - with perforation, peritonitis or rupture K35.0 code Add subterms - - - perforation or rupture K35.0 and - - - peritoneal abscess K35.1 codes - - - peritonitis, localized K35.9 - - - - with mention of perforation or rupture K35.0 - - - - generalized K35.0
Delete instruction Hypercapnia (see also Hyperventilation) R06.8 Australia Minor January 2003 and revise code (URC:0073) Hypertension, hypertensive (accelerated)…I10 Australia Major January 2003 Add modifier, - pulmonary (artery) (secondary) NEC I27.2 (URC:0069) revise subterm and code - - of newborn (persistent) P29.3 Add subterm and - - primary (idiopathic) I27.0 code Revise subterm - secondary NEC I15.9
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Add main term Ideation, suicidal R45.8 Australia Major January 2003 Add sub term - constituting part of a mental disorder – see condition (URC:0064)
Infection, infected (opportunistic) B99 Australia Minor January 2003 Add dagger and - Pneumocystis carinii (pneumonia) B59† J17.3* (URC:0087) code Infection, infected (opportunistic) B99 Dutch Minor January 2003 - virus NEC B34.9 Committee on Add code - - specified type NEC B33.8 ICD-10 Translation (URC: 0084) Injury (see also specified injury type) T14.9 Dutch Minor January 2003 - multiple sites T07 Committee on - - knee NEC S83.7 ICD-10 Add subterm & - - - and lower leg S89.7 Translation code (URC: 0084) Add non-essential - - leg, lower (and knee) S89.7 modifier Laryngismus (stridulus) J38.5 Australia Major January 2003 Revise code - congenital P28.8 (URC:0060)
Add main term and Laryngomalacia (congenital) Q31.5 Australia Major January 2003 code (URC:0060) Locking Australia Major January 2003 Modify indentation - joint (see also Derangement, joint) M24.8 (URC: 0089) level - - knee M23.8
Lymphadenitis I88.9 UK Major January 2003 - breast (URC:0100) Add non essential - - gestational (nonpurulent) O91.2 modifier Add subterm & - - - purulent O91.1 code - - puerperal, postpartum (nonpurulent) O91.2 Add subterm & - - - purulent O91.1 code - chronic I88.1 - - mesenteric I88.0 Delete subterm & - - - purulent O91.1 code
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Neoplasm, neoplastic Australia Minor January 2003 Malignant (URC:0074) Secondary - cord (true) (vocal) Revise code - - spinal (cervical) (lumbar) (sacral) (thoracic) C79.4 - spine, spinal (column) Revise code - - bulb C79.4 Revise code - - cord C79.4
Neoplasm, neoplastic Benign Australia Minor January 2003 Revise code - gall duct (extrahepatic) D13.5 (URC:0068)
Neurosyphilis, neurosyphilitic Australia Minor January 2003 Revise code - hemorrhagic A52.3 (URC:0046)
Osteochondrosis M93.9 Dutch Major January 2003 Add non-essential - Kienbock’s (juvenile) M92.2 Committee on modifier ICD-10 Add subterm and - - of adults M93.1 Translation code (URC: 0084) Parkinsonism (idiopathic) (primary) G20 Dutch Minor January 2003 - with orthostatic hypotension (idiopathic) (symptomatic) G90.3 Committee on Add subterm & - dementia in G20† F02.3* ICD-10 codes Translation (URC: 0084) Peritonitis (adhesive) (fibrinous) (with effusion) K65.9 Australia Minor January 2003 - with or following (URC:0077) Revise code - - appendicitis K35.9 Add subterm and - - - with mention of perforation or rupture K35.0 code Placenta, placental (see also condition) Australia Minor January 2003 Delete term - marginal sinus (hemorrhage) (rupture) O44.1 (URC:0080) Add subterm and - - affecting fetus or newborn P02.0 code Add dagger and Pneumocystosis B59† J17.3* Australia Minor January 2003 code (URC:0087)
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Polycystic (disease) Australia Minor January 2003 - degeneration, kidney Q61.3 (URC:0070) Revise subterm - - autosomal dominant (adult type) Q61.2 Revise subterm - - autosomal recessive (infantile type) Q61.1 - kidney Revise subterm - - autosomal dominant (adult type) Q61.2 Revise subterm - - autosomal recessive (infantile type) Q61.1
Revise main term Postmenopausal endometrium (atrophic) N95.8 Dutch January 2003 & delete code Committee on Minor Add subterm&code - endometrium (atrophic) N95.8 ICD-10 Modify indentation - - suppurative (see also Endometritis) N71.9 Translation level (URC: 0084) Add subterms and - osteoporosis M81.0 codes - - with with pathological fracture M80.0
Add main term, Pseudomeningocele (postprocedural) (spinal) G97.8 Australia Major January 2003 subterm and codes - post-traumatic G96.1 (URC:0067) Psittacosis A70 Dutch Minor January 2003 Add subterm and - with pneumonia A70† J17.8* Committee on codes ICD-10 Translation (URC: 0084) Add main term, sub Rhabdomyolysis (idiopathic) NEC M62.8 UK Major January 2003 term and codes - traumatic T79.6 (URC:0101)
Revise code Risk, suicidal R45.8 Australia Major January 2003 Add sub term - constituting part of a mental disorder – see condition (URC:0064)
Rupture, ruptured Australia Minor January 2003 - marginal sinus (placental) (with hemorrhage) O46.8 (URC:0080) Add subterms and - - with placenta previa O44.1 codes - - - affecting fetus or newborn P02.0 - - affecting fetus or newborn P02.1 Sinus – see also Fistula Australia Minor January 2003 - marginal, ruptured or bleeding O46.8 (URC:0080) Add subterms and - - with placenta previa O44.1 codes - - - affecting fetus or newborn P02.0 - - affecting fetus or newborn P02.1
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Add main term and Splenosis D73.8 Australia Major January 2003 code (URC:0085) Sprain, strain (joint) (ligament) T14.3 Germany Major January 2003 - knee NEC (URC:0034) Revise code - - patellar ligament S76.1
Sprain, strain (joint) (ligament) T14.3 Australia Major January 2003 Revise modifiers - rotator cuff (capsule) (tendon) S46.0 (URC:0090) and code Add subterm & - - capsule S43.4 code Revise subterm and Stridor R06.1 Australia Major January 2003 code - congenital (larynx) NEC P28.8 (URC:0060)
Suicide, suicidal (attempted) Australia Major January 2003 Revise code - risk R45.8 (URC:0064) Add sub term - - constituting part of a mental disorder – see condition Revise code - tendencies R45.8 Add sub term - - constituting part of a mental disorder – see condition
Tear, torn (traumatic) – see also Wound, open Australia Major January 2003 - rotator cuff (complete) (incomplete) (nontraumatic) M75.1 (URC:0090) Add subterms and - - traumatic (tendon) S46.0 codes - - - capsule S43.4
Tendency Australia Major January 2003 Revise code - suicide R45.8 (URC:0064) Add sub term - - constituting part of a mental disorder – see condition
Tuberculosis, tubercular, tuberculous (caseous) (degeneration) (gangrene) Australia Minor January 2003 (necrosis) (URC:0046) Add dagger & code - bursa A18.0 † M01.1* Add dagger & code - cartilage A18.0 † M01.1* Add subterm & - - vertebral column A18.0 † M49.0* codes
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Tuberculosis, tubercular, tuberculous … A16.9 Dutch Minor January 2003 - vulva A18.1† N77.1* Committee on Add subterm & - - with ulceration A18.1† N77.0* ICD-10 codes Translation (URC: 0084) Tumor (M8000/1) – see also Neoplasm, uncertain behavior Dutch Minor January 2003 Add morphology - intravascular bronchial alveolar (M9134/1) D38.1 Committee on code ICD-10 Translation (URC: 0084)
Index to External Causes
Instruction Alphabetic index entries Source Major/Minor Implementation update date Contact (accidental) UK Minor January 2003 - with (URC: 0098) Delete parentheses - - metal, (hot) (liquid) (molten) NEC X18.-
Table of Drugs and Chemicals
Instruction Alphabetic index entries Source Major/Minor Implementation update date Table of drugs and chemicals Australia Major January 2003 Add non-essential (URC:0075) modifier & revise Prednisolone (oral) T38.0 X44.- X64.- Y14.- Y42.0 codes Add - ENT agent T49.6 X44.- X64.- Y14.- Y56.6 Add - ophthalmic preparation T49.5 X44.- X64.- Y14.- Y56.5 Add - topical NEC T49.0 X44.- X64.- Y14.- Y56.0
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